We think of your and your family as partners in your care. Northwest Surgical Hospital understands and respects the rights and responsibilities of patients, their families, doctors, and other health care workers. We respect the role of the patients in making choices about their care. We respect each person’s preferences and values. We respect and meet diverse needs, cultural, racial, religious, age, gender, and other differences as well as the special needs of persons with disabilities.
You have the right to be treated in a kind and respectful manner that supports your dignity. As well as the right to an environment that preserves dignity and contributes to a positive self-image.
You have the right to make choices about your care as well as be informed of your health status, diagnosis, and prognosis.
You have the right to have a family member, representative of your choice, and/or your physician notified promptly of your admission to the hospital.
You have the right to request and receive an itemized and detailed explanation of your total bill for services rendered. You have the right to timely notice prior to termination of your eligibility for reimbursement by any third party payer for the cost of your care.
Medicare requires that your admission and stay be justified for a medical need or Medicare will not pay for your care. We will give you “An Important Message from Medicare” during the admission process, which includes instructions on your right to request a review by a Peer Review Organization of any written Notice of Non-coverage that you receive from the hospital stating that Medicare will no longer pay for your hospital care. Please ask your nurse to have a Case Manager contact you if you wish to appeal a Medicare denial.
You have the right to have accommodations made for religious and other spiritual needs. We respect each person’s preferences and values, cultural, racial, religious, age, gender, and other differences as well as the special needs of persons with disabilities.
You have the right to effective communication, the hospital provides interpreting and translation services. The hospital communicates with patients who have vision, speech, hearing, or cognitive impairments in a manner that meets the patient’s needs.
You have the right to privacy, both personal and medical. Discussions, consults, exams and treatments will be done to protect each patient’s privacy.
You have the right to expect that all communications and records about your care will be treated as confidential. In cases such as alleged abuse or public health hazards, a report may be required or allowed by law. You have the right to expect that the hospital will be confidential with this information when it gives it to any other party.
You have the right to look at the records about your medical care as quickly as record keeping systems permit and to have the information explained to you and request amendment except when restricted by law and regulation.
You have the right to obtain information on disclosures of your heath information in accordance with law and regulation.
You have the right to receive pain management and to be educated about methods to control and communicate pain.
You have the right to access protective and advocacy services. To include being placed in protective privacy when deemed necessary for personal safety or privacy. You also have the right to be free from restraints, either physical or drug of any form that are not medically necessary or are used as a means of coercion, discipline, convenience, or retaliation by staff.
You have the right to receive care in a safe setting.
You have a right to be involved in making informed decisions about your care, treatment and services to include procedures, interventions, pain management, and discharge planning as appropriate. When unable to make decisions, a surrogate decision-maker will be involved. The hospital respects the surrogate decision maker’s right to refuse care, treatment and services on the patient’s behalf in accordance with law and regulation.
The hospital respects your right to request or refuse care, treatment and services and respects your right to refuse in accordance with law and regulation.
The hospital involves the patient’s family in care, treatment, and services decisions and revisions to the extent permitted by the patient or surrogate decision-maker, in accordance with law and regulation. Information is provided in order to participate in current and future health care decisions.
You have the right to participate in the development and implementation of your treatment and plan of care, discharge and pain management plans and any revisions.
You have the right to be informed of unanticipated outcomes of care, treatment and services. The Physician or his or her designee will inform you of any unanticipated outcomes of care that affect your recovery when you are not already aware of the occurrence or when further discussion is needed.
You have the right to consent or decline to be in research studies and to have those studies fully explained before you give consent.
You have the right to give or withhold informed consent. You, as the patient, have the right to reasonable informed participation in decisions involving your care, treatment and services and the ability to refuse. To the degree possible, this should be based on a clear, concise explanation of your condition and all proposed technical procedures related to recuperation and probability of success.
You have the right to give or withhold informed consent to produce or use recordings, films, and/or other images for the purposes unrelated to your care as well as a right to rescind the consent before the recording, film, or image is used.
You have the right to receive information about the individual(s) responsible for, as well as those providing your care, treatment and services. This includes your right to know of any existence of any professional relationships among individuals whom are treating you.
You have the right to have an Advance Directive such as a living will, health care proxy, or durable power of attorney for health care. You also have the right to choose a person to make the decisions for you. You have the right to timely information about hospital policy that may limit our ability to carry out your Advance Directive. You also have the right to formulate, review, and revise your Advance Directive. The hospital will honor your right of Advance Directive to the extent allowed by law, regulation, and hospital policies and capabilities. The existence or lack of an Advance Directive does not determine your right to care, treatment, and services.
You have the right to personal privacy, respect, dignity, and comfort. You have the right to be free from neglect; exploitation; and verbal, mental, physical and sexual abuse and harassment.
You and your family have the right to have complaints reviewed by the hospital in a timely manner without fear of reprisal if you are dissatisfied with any aspect of your care. This includes issues related to quality of care, patient safety, coverage decisions and premature discharges. You have a right to submit either a verbal or written grievance. If these cannot be resolved promptly, you may contact our Grievance Officer at 405.602.8116 to discuss your concerns. You also have the right to file a complaint with KEPRO Rock Run Center, 5700 Lombardo Center, Suite 100, Seven Hills, Ohio 44131 Phone: 216.447.9604 , 844.430.9504, Fax: 844.878.7921, or DNV by using the web form at http://dnvglhealthcare.com/patient-complaint-report. Complaints may also be submitted by e-mail to email@example.com, Phone 866.496.9647, Fax 513.947.1250, or postal mail: ATTN: Hospital Complaint DNV GL – Healthcare ,400 Techne Center Drive, Suite 100, Milford, OH 45150.
You are responsible to give true and complete information about your health. This includes your present health complaints, past illnesses, hospitalizations, drugs and other concerns related to your care.
You are responsible to give information about Advance Directives and to provide us with any papers that give directions about your future medical care should you be unable to take part in such planning.
You are responsible for following the recommended plan of care. You are also responsible for telling your care providers whether or not you can follow a certain plan.
You are responsible for your actions of refusing care, treatment and services and not following Physician orders.
You are responsible for asking questions about your care, treatment, diagnosis, or prognosis.
You are responsible for alerting your care providers when you are having pain or if your pain is not being managed.
You are responsible to know and follow hospital rules, which include noise control, dietary restrictions, and smoking locations.
You are responsible to be helpful and kind during your stay.
You are responsible for the financial obligations for your care and hospitalization.
You are responsible for respecting privacy and confidentiality of the patients and staff.
You are responsible to discuss with your care providers or administration if you are dissatisfied with your care or believe your rights have been violated.
You are responsible for transportation to your home after discharge.
Your health depends not just on your hospital care, but on the choices you make in your daily life. You are responsible for the effect of your lifestyle on your own health and wellness.
You are responsible to respect the property of the facility and others.
You are responsible to keep follow up appointments after discharge to facilitate in the continuity of your care.
You are responsible for providing a responsible adult to transport you after receiving any form of sedation.